+91 86559 50451
info@inlab.co.in
Menu Open
Home
About Us
Contact us
Products
Customise Your Skincare
Account
close
Home
About Us
Contact us
Products
Customise Your Skincare
Login
Step
1
You
Your Skin
Your Habits
Skin Photos
Complete
Let’s get to know you!
1) Please enter your full name
2) How old are you?
Under-18
18-30
31-40
41-50
51-60
Over-60
3) How can we reach you?
Enter your email address
Enter your mobile number
4) What is your gender?
Male
Female
Other
Please provide additional details
Pregnant
Breastfeeding
No near term (within a year) plans for pregnancy
Let’s understand your skin
5) What are your immediate skin concerns? (You can select multiple options)
Acne (Pimples)
Anti-aging (Wrinkles)
Dark Circles (Under-eye)
Dull (No glow)
Pigmentation (Discoloration)
None (Want healthier skin)
Acne (Pimples)
Anti-aging (Wrinkles)
Dark Circles (Under-eye)
Dull (No glow)
Pigmentation (Discoloration)
None (Want healthier skin)
Please specify other skin concern.
6) Since how long have you had these skin concerns?
Less than 3 months
3-12 months
1-2 years
More than 2 years
7) What is your skin type?
Dry
Normal
Oily
Combination
Sensitive
Not sure
8) Do you have any skin allergies or conditions?
Contact Dermatitis
Eczema
Skin Rash/Hives
Psoriasis
None
Other
Please specify your other skin allergies or conditions.
Your Habits
9) What skincare products are you currently using?
Cleanser
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Toner
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Moisturizer
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Serum
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Sunscreen
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Face Wash
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Shea Butter
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Gel
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
Retinol Night Cream
How often ?
1 or more times a day
2-5 times a week
Once a week
As needed
None of this
Other
Please specify skincare product you are using.
10) Have you consulted any doctor for your skin concerns?
Yes
No
How often do you see them?
1-2 times a year
2-6 times a year
1 or more times in a month
11) How well do you sleep on average?
less than 5 hours a night
5-7 hours a night
7-8 hours a night
8+ hours a night
12) Are there any other concerns you want to share with our Skin Specialist?
Yes
No
Please enter your other concern to be shared with dermatologist.
Your Skin Pictures
13) Please upload clear pictures of your face or select the illustrations that best match your skin concerns to consult with our Doctor
Upload your clear pictures
Front Image
Front Image
Right Image
Right Image
Left Image
Left Image
Your complete profile
Your full name.
Your age range.
Your email address.
Your mobile number.
Your Gender.
Additional Information.
Your immediate skin concerns.
Additional Information.
Duration of your skin concerns.
Your skin type.
Your skin allergies or conditions.
Other Information.
Your skin skincare products you currently using.
Other Information.
Have you consulted any doctor for your skin concerns?.
How often do you see them.
How well do you sleep on average?
Other concerns you want to share with our Skin Specialist?.
Other Information.
Skin Pictures.
